摘要
医师多点执业是一项下沉医疗人力资源、推动医疗卫生体制改革的重要制度。医师多点执业有利于优化卫生资源配置、促进分级诊疗实施、推进公立医院改革以及优化多元化办医格局。根据多点执业实施现状,其推行缓慢的关键因素在于执业过程所面临的系列法律风险,如医疗机构面临行政管理下税收监管空白、不正当竞争以及因医师违约带来的经济损失等风险;医师面临竞业禁止、非法行医、劳资纠纷以及侵权纠纷等风险。为此,应当通过明确法律关系性质、完善风险防范机制、健全人事管理制度以及细化医疗损害保险制度等,强化医师多点执业法律风险防控,从而降低相关主体的风险顾虑,进而减少多点执业进程障碍,助推分级诊疗有效实施。
Physician multi⁃point practice is an important system to sink medical human resources and promote the reform of medical and health system.The multi⁃point practice is conducive to optimize the allocation of health resources,promote the implementation of hierarchical diagnosis and treatment,promote the reform of public hospitals and optimize the pattern of diversified medical services.According to the current situation of multi⁃point practice,the key factor of its slow implementation lies in a series of legal risks faced by the practice process,such as medical institutions facing with the risks of tax supervision blank,unfair competition and economic losses caused by doctors’breach of contract under the administration,and doctors facing with the risks of non⁃competition,illegal practice,labor disputes and infringement disputes.Therefore,we should strengthen the prevention and control of legal risks by clarifying the nature of legal relations,improving the risk prevention mechanism,improving the personnel management system and refining the medical damage insurance system,in order to reduce the risk concerns of relevant subjects,reduce the barriers to the multi⁃point practice process,and promote the effective implementation of hierarchical diagnosis and treatment.
作者
范亲敏
钟三宇
FAN Qinmin;ZHONG Sanyu(Xiamen Intermediate People’s Court of Fujian Province,Xiamen 361012;School of Humanities and Management,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)
出处
《南京医科大学学报（社会科学版）》
2021年第1期47-52,共6页
Journal of Nanjing Medical University（Social Sciences）
基金
福建省科技厅创新项目“防控新冠肺炎背景下福建省野生动物保护立法完善研究”(2020R0070)。
关键词
多点执业
医师
医疗机构
法律风险
multi⁃point practice
doctor
medical institution
legal risk
作者简介
通信作者:范亲敏(1990-),男,福建宁德人,讲师,法官助理,研究方向为法学,fan18883101353@126.com。
